| NPI | 1992551485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP5142) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2026-02-28 |